Evidence map›Paper›PMID 33559248›Full record

Trial reportTransfusion2021

Impact of serological and PCR testing requirements on the selection of COVID-19 convalescent plasma donors.

Jason A Carter, Alex T Freedenberg, Jamie L Romeiser, Lillian R Talbot, Nicholas J Browne, Megan E Cosgrove, Margaret E Shevik, Laura M Generale, Molly G Rago, Giuseppina A Caravella and 4 more

Abstract readClinical Trial
In one paragraph

Trial report in Transfusion, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Jason A CarterMSTP, Renaissance School of Medicine at Stony Brook University, Stony Brook, New York, USA.
Alex T FreedenbergRenaissance School of Medicine at Stony Brook University, Stony Brook, New York, USA.
Jamie L RomeiserBiostatistics, Department of Anesthesiology, Renaissance School of Medicine at Stony Brook University, Stony Brook, New York, USA.
Lillian R TalbotMSTP, Renaissance School of Medicine at Stony Brook University, Stony Brook, New York, USA.
Nicholas J BrowneRenaissance School of Medicine at Stony Brook University, Stony Brook, New York, USA.
Megan E CosgroveRenaissance School of Medicine at Stony Brook University, Stony Brook, New York, USA.
Margaret E ShevikMSTP, Renaissance School of Medicine at Stony Brook University, Stony Brook, New York, USA.
Laura M GeneraleRenaissance School of Medicine at Stony Brook University, Stony Brook, New York, USA.
Molly G RagoCancer Center Clinical Trials, Renaissance School of Medicine at Stony Brook University, Stony Brook, New York, USA.
Giuseppina A CaravellaCancer Center Clinical Trials, Renaissance School of Medicine at Stony Brook University, Stony Brook, New York, USA.
Tahmeena AhmedDepartment of Pathology/Blood Bank, Renaissance School of Medicine at Stony Brook University, Stony Brook, New York, USA.
Linda J MamoneDepartment of Pathology/Blood Bank, Renaissance School of Medicine at Stony Brook University, Stony Brook, New York, USA.
Elliott Bennett-GuerreroDepartment of Anesthesiology, Stony Brook University, Stony Brook, New York, USA.ORCID 0000-0001-8659-8098
Stony Brook Medicine COVID Plasma Trial Group

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM008444 · NIGMS · STATE UNIVERSITY NEW YORK STONY BROOK · PI FROHMAN, MICHAEL A. · 1992 to 2024
$12.6M
NIGMS NIH HHS T32 GM008444
6 · The paper itself

Abstract

backgroundConvalescent plasma is undergoing randomized trials as a potential therapeutic option for COVID-19 infection. Little empirical evidence exists regarding the determination of donor eligibility and experiences with donor selection. STUDY DESIGN AND

methodsThis prospective study was conducted at a tertiary care hospital in New York to select plasma donors for a randomized, double-blind, controlled convalescent plasma trial. Clearance for donation required successful completion of an online questionnaire and an in-person screening visit, which included (a) completion of a Donor Health Questionnaire (DHQ), (b) Immunoglobulin G (IgG) antibody testing using an immunochromatographic anti- severe acute respiratory coronavirus 2 (SARS-CoV-2) test, (c) Polymerase chain reaction (PCR) testing if <28 days from symptom resolution, and (d) routine blood bank testing.

resultsAfter receiving 3093 online questionnaires, 521 individuals presented for in-person screening visits, with 40.1% (n = 209) fully qualifying. Subjects (n = 312) failed to progress due to the following reasons: disqualifying answer from DHQ (n = 30, 9.6%), insufficient antibodies (n = 198, 63.5%), persistent positive PCR tests (n = 14, 4.5%), and blood donation testing labs (n = 70, 22.4%). Importantly, 24.6% and 11.1% of potential donors who reported having PCR-diagnosed infection had low or undetectable SARS-CoV-2 antibody levels, respectively. Surprisingly, 62.9% (56/89) of subjects had positive PCR tests 14-27 days after symptom resolution, with 13 individuals continuing to be PCR positive after 27 days.

conclusionIt is feasible for a single site to fully qualify a large number of convalescent plasma donors in a short period of time. Among otherwise qualified convalescent plasma donors, we found high rates of low or undetectable antibody levels and many individuals with persistently positive PCR tests.

Indexed as

Blood DonorsConvalescenceCOVID-19 Nucleic Acid TestingCOVID-19 Serological TestingDonor SelectionAdultCOVID-19FemaleHumansMaleMiddle AgedReverse Transcriptase Polymerase Chain Reactionblood component preparationsdonorsimmunology (other than RBC serology)

Identifiers

PMID33559248
PMCPMC8013201

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.